Individual
LAURA LYNN CARNAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCR, DSP
Contact information
Practice address
3565 POSSUM TROT RD, MALVERN, AR 72104-8091
(501) 732-6138
Mailing address
3565 POSSUM TROT RD, MALVERN, AR 72104-8091
(501) 732-6138
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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